Michigan Blue's Quality Efforts Save Millions

Over a five-year period, five programs sponsored by Blue Cross Blue Shield of Michigan and Blue Care Network to improve the quality of certain medical and surgical procedures performed in Michigan hospitals, have produced $597 million in healthcare cost savings, and have lowered complication and mortality rates for thousands of patients.

Over a five-year period, five programs sponsored by Blue Cross Blue Shield of Michigan and Blue Care Network to improve the quality of certain medical and surgical procedures performed in Michigan hospitals, have produced $597 million in healthcare cost savings, and have lowered complication and mortality rates for thousands of patients.

The results of these five Collaborative Quality Initiatives — covering general surgery, bariatric surgery, angioplasty, vascular conditions and cardiac surgery – were achieved through widespread collaboration among Blue Cross and 75 Michigan hospitals.

An actuarial analysis found the program savings resulted from avoided costs, specifically complication reductions; and prevention of erroneous and unnecessary procedures. The analysis indicates about 30 percent of the program savings were attributed to Blue Cross or Blue Care Network patient procedures, while about 70 percent was attributed to patients with Medicare, Medicaid, self-insured plans, other private plans or no insurance.

Source: Healthcare Payer News

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